AEGIN PLACE OF WEST MICHIGAN (NPI# 1366657744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366657744 |
| Entity Type | Organization |
| Organization Name | AEGIN PLACE OF WEST MICHIGAN |
| Other Organization Name | AEGIN PLACE OF WEST MICHIGAN LLC |
| Practice Address |
333 W. Western Ave Ste 209 Muskegon MI 49440 |
| Practice Telephone | 2313755356 |
| Practice Fax Number | 2317567211 |
| Mailing Telephone | 2313755356 |
| Mailing Fax Number | 2317567211 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | MR. LANCE GRAGG (OWNER/CEO) |
| Authorized Official Telephone | 2313755356 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Aegin Place of West Michigan LLC | Former Legal Business Name - Organization |
| Street Address |
333 W. WESTERN AVE STE 209 |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588122592 | Latanya Taunnette Wheeler | Social Worker | 200 Viridian Drive, Muskegon, MI 49440 | 2019-03-08 |
| 1568932101 | Stephani Danielle Jannenga | Community Health Worker | 565 W. Western Ave., Muskegon, MI 49440 | 2018-11-27 |
| 1891180063 | Matthew R Monahan-reed | Counselor | 715 Terrace St Ste 201, Muskegon, MI 49440 | 2015-04-03 |
| 1477965242 | Krista Israel | Nurse Anesthetist, Certified Registered | 550 West Western Ave Ste B, Muskegon, MI 49440 | 2014-05-28 |
| 1285917997 | Matthew Thatcher | Counselor | 333 W Western Ave Ste 5, Muskegon, MI 49440 | 2011-09-20 |
| 1336365055 | Raymond Jay Hilt | Dentist | 1065 Fourth St, Muskegon, MI 49440 | 2007-04-18 |
| 1851434906 | Michael Patrick Foster Sr. | Anesthesiology | 550 W. Western Ave, Suite B, Muskegon, MI 49440 | 2007-02-15 |
| 1942212667 | Joseph J Marous IIi | Radiology | 605 W Western Ave, Muskegon, MI 49440 | 2006-08-12 |
| 1417993098 | David M Gundersen | Optometrist | 442 W Western Ave, Muskegon, MI 49440 | 2006-06-21 |
| 1952871584 | Shonie Rena Blake | Community Health Worker | 565 W Western Ave, Muskegon, MI 49440 | 2018-11-27 |
| Find all providers in zip 49440 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
| 1265763056 | Best Way Providers, Inc. | In Home Supportive Care | 17 Delaware Ave, Muskegon, MI 49442-3308 | 2010-01-19 |
| 1023256831 | The Arc Muskegon | In Home Supportive Care | 1145 Wesley Ave, Muskegon, MI 49442-2100 | 2009-02-02 |
| 1023362969 | Aval Inc | In Home Supportive Care | 1145 Wesley Ave, Muskegon, MI 49442-2100 | 2012-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104818 | Work By Faith Home Care LLC | In Home Supportive Care | 708 Van Buren St W, Battle Creek, MI 49037-2218 | 2020-11-06 |
| 1902407067 | Mjp Management LLC | In Home Supportive Care | 1 Comtronics Pl, Jackson, MI 49203-7500 | 2020-11-05 |
| 1891396115 | Tender Care Homecare Services | In Home Supportive Care | 25331 Lois Ln, Southfield, MI 48075-1040 | 2020-11-03 |
| 1851991699 | Cacck Enterprise Inc | In Home Supportive Care | 15851 S Us 27 Ste 314, Lansing, MI 48906-1987 | 2020-10-30 |
| 1194322628 | Albacare LLC | In Home Supportive Care | 2755 Pall Mall Dr, Sterling Heights, MI 48310-5808 | 2020-10-07 |
| 1821604315 | Essential Reliable Care LLC | In Home Supportive Care | 513 Cherry Orchard Rd, Canton, MI 48188-5272 | 2020-09-20 |
| 1518573450 | Burd Home Health LLC | In Home Supportive Care | 15001 Kerchezal Ave Unit #2042, Grosse Point Park, MI 48230 | 2020-09-16 |
| 1174138754 | Aliah Sanusi | In Home Supportive Care | 25900 Greenfield Rd Ste 503, Oak Park, MI 48237-1893 | 2020-09-10 |
| 1407461353 | Paradise Home Care LLC | In Home Supportive Care | 5315 Discovery Dr Se, Kentwood, MI 49508-6656 | 2020-09-08 |
| 1437763406 | Kelechi Akubukwe | In Home Supportive Care | 48164 Royal Pointe Dr, Canton, MI 48187-5466 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AEGIN PLACE OF WEST MICHIGAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.